KRISHNA KISHORE GADDAM MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130403

License Status

INACTIVE

Business

Title

First Name

KRISHNA

Middle

KISHORE

Last Name

GADDAM

Business Name

KRISHNA KISHORE GADDAM MD

Original Issue Date

05/24/2012

Effective Date

05/24/2012

Expiration Date

07/31/2014

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/23/2014